Author Question: The nurse is calculating the body mass index (BMI) to assess a client's weight. Which is a ... (Read 109 times)

charchew · **on:** Jun 25, 2018

The nurse is calculating the body mass index (BMI) to assess a client's weight. Which is a limitation to using this tool?

1. There is lack of correlation of the values in the BMI table with those in height-weight tables.
2. Assumption that all individuals have equal body composition at each given weight.
3. BMI is difficult to accurately calculate.
4. The BMI's use to determine the risk for obesity is reduced in individuals who are on reduced calorie diets.

Question 2

An adult client continues to request intravenous pain medications 4 days after being placed in skeletal traction due to a complex fracture of the hip.

While giving report to the next shift, the nurse who cared for the client during the day states, I just do not know why he still needs medication 4 days after surgery. The client we had last month with the same type situation did not need any medication after 2 days. Which response by a nursing peer is the best example of being a client advocate?
1. I just think this client needs more because of his age.
2. Have you tried getting the doctor to order oral pain medications to see if they work?
3. Wouldn't you want all of the pain medication you could have if you were in traction?
4. Everyone does not have the same pain perception or response to a similar injury.

fwbard · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
A clinical limitation of body mass index is the assumption that all individuals have equal body composition at each given weight. This has not been found to be true. The amount of muscle mass, body fat, and bone mineral content varies according to high level of fitness, race, and ethnic differences. BMI is easily calculated using the standard formula and has a relationship with height and weight. The BMI is not used to determine the risk for obesity. The use of the tool is not limited by an individual's current caloric intake.

Answer to Question 2

Correct Answer: 4

Based on the definition by McCaffery & Pasero, pain is whatever the experiencing person says it is, existing whenever he or she says it does. This definition supports each client's need for individualized pain management approaches. Pain threshold does not appear to change with aging. Traditionally oral pain medications are used to manage less severe reports of pain; the client in the scenario has uncontrolled pain. The best course of action for the nurse is to educate the colleague about the individuality of the pain experience. A nurse's personal attitudes or perceptions should not influence the care that is provided to a client.